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	<title>
	Comments on: Big federal push for electronic medical records	</title>
	<atom:link href="https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/feed/" rel="self" type="application/rss+xml" />
	<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/</link>
	<description>Chronicling the high cost of our legal system</description>
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		<title>
		By: Medical roundup - Overlawyered		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-200086</link>

		<dc:creator><![CDATA[Medical roundup - Overlawyered]]></dc:creator>
		<pubDate>Fri, 01 Feb 2013 04:30:12 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-200086</guid>

					<description><![CDATA[[...] the discussion of electronic medical records from a few days back: as medico-legal documents, EMRs are under pressure to be something other than candid and [...]]]></description>
			<content:encoded><![CDATA[<p>[&#8230;] the discussion of electronic medical records from a few days back: as medico-legal documents, EMRs are under pressure to be something other than candid and [&#8230;]</p>
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		<title>
		By: aaaa		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199485</link>

		<dc:creator><![CDATA[aaaa]]></dc:creator>
		<pubDate>Thu, 24 Jan 2013 08:15:20 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199485</guid>

					<description><![CDATA[@Bumper Writing computer system that sends medical data over internet is patented invention. I bumped into that a while ago. It is not impossible to do it, as long as you do not sell enough copies of your software to caught attention of patent owner. It is not illegal, just patented. 

One of those millions patents out there covers also this and have been used to stop competition in the market already. That is where I took the idea. 

Btw, you could encrypt those data and send them safely through an unsafe channel (mail). Dunno whether that passes said regulation.]]></description>
			<content:encoded><![CDATA[<p>@Bumper Writing computer system that sends medical data over internet is patented invention. I bumped into that a while ago. It is not impossible to do it, as long as you do not sell enough copies of your software to caught attention of patent owner. It is not illegal, just patented. </p>
<p>One of those millions patents out there covers also this and have been used to stop competition in the market already. That is where I took the idea. </p>
<p>Btw, you could encrypt those data and send them safely through an unsafe channel (mail). Dunno whether that passes said regulation.</p>
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		<title>
		By: Bumper		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199448</link>

		<dc:creator><![CDATA[Bumper]]></dc:creator>
		<pubDate>Thu, 24 Jan 2013 01:35:19 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199448</guid>

					<description><![CDATA[aaaa,

I don&#039;t know where you came up with the idea that you can&#039;t send medical data over the internet, my clients do it every day. The reason you can&#039;t send it via email is because by HIPAA email is not considered safe, while FAXes are, although there are systems that use email to send the FAX. 

As one who works in this arena everyday I have found this discussion interesting but flawed. The average mortal has no idea of the train wreck that is soon to become of medical care in America and EMR are just the tip of the iceberg.]]></description>
			<content:encoded><![CDATA[<p>aaaa,</p>
<p>I don&#8217;t know where you came up with the idea that you can&#8217;t send medical data over the internet, my clients do it every day. The reason you can&#8217;t send it via email is because by HIPAA email is not considered safe, while FAXes are, although there are systems that use email to send the FAX. </p>
<p>As one who works in this arena everyday I have found this discussion interesting but flawed. The average mortal has no idea of the train wreck that is soon to become of medical care in America and EMR are just the tip of the iceberg.</p>
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		<item>
		<title>
		By: aaaa		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199436</link>

		<dc:creator><![CDATA[aaaa]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 22:01:25 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199436</guid>

					<description><![CDATA[@boblipton Sending medical data over internet (and wifi will qualify) is patented. You can not even write a system that would send those data over e-mail, because apparently that is an invention worthy of patent protection. 

Well, you can not write it unless you want to a.) risk a costly lawsuit or b.) pay absurdly high fees on that patent. Do not expect such systems to become cheap anytime soon.]]></description>
			<content:encoded><![CDATA[<p>@boblipton Sending medical data over internet (and wifi will qualify) is patented. You can not even write a system that would send those data over e-mail, because apparently that is an invention worthy of patent protection. </p>
<p>Well, you can not write it unless you want to a.) risk a costly lawsuit or b.) pay absurdly high fees on that patent. Do not expect such systems to become cheap anytime soon.</p>
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		<title>
		By: William Nuesslein		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199404</link>

		<dc:creator><![CDATA[William Nuesslein]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 12:09:53 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199404</guid>

					<description><![CDATA[I was hospitalized in Dec. 2010. I observed how the staff interacted with their computers. Each staff member had a laptop on a feeding cart. Not once did any of these people swear at the computer. 

I also asked my pharmacist about computer generated prescriptions. &quot;They&#039;re legible&quot;, I was told.  And my urologist was able to get my unnecessary CAT scan at his desk with a few clicks. It was amazing as our my dentist&#039;s x-rays.

We need to have computers do diagnosis as doctors cost too much for routine care.  

Computers in medicine are working well. Lawyers on the other hand are disasters.]]></description>
			<content:encoded><![CDATA[<p>I was hospitalized in Dec. 2010. I observed how the staff interacted with their computers. Each staff member had a laptop on a feeding cart. Not once did any of these people swear at the computer. </p>
<p>I also asked my pharmacist about computer generated prescriptions. &#8220;They&#8217;re legible&#8221;, I was told.  And my urologist was able to get my unnecessary CAT scan at his desk with a few clicks. It was amazing as our my dentist&#8217;s x-rays.</p>
<p>We need to have computers do diagnosis as doctors cost too much for routine care.  </p>
<p>Computers in medicine are working well. Lawyers on the other hand are disasters.</p>
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		<title>
		By: Melvin H.		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199350</link>

		<dc:creator><![CDATA[Melvin H.]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 06:08:06 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199350</guid>

					<description><![CDATA[Toss in HIPAA which requires you to fill out a form at EVERY doctor or specialist, &lt;b&gt;every year&lt;/b&gt;, to say who and what has access to everything from records to a simple call for an appointment; each Privacy Act form asks for different things.  None are uniform, none are portable, none are permanent...and none are online.]]></description>
			<content:encoded><![CDATA[<p>Toss in HIPAA which requires you to fill out a form at EVERY doctor or specialist, <b>every year</b>, to say who and what has access to everything from records to a simple call for an appointment; each Privacy Act form asks for different things.  None are uniform, none are portable, none are permanent&#8230;and none are online.</p>
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		<title>
		By: gitarcarver		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199342</link>

		<dc:creator><![CDATA[gitarcarver]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 03:49:20 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199342</guid>

					<description><![CDATA[There is something else that has me skeptical of this - the storage medium of the records.  

For example, 10 years ago NASA started to panic and pulled people out of retirement because they no longer had the machines or the people with the expertise to repair the machines (such as align heads) of computers that used magnetic tape.  Much of the data for the Apollo missions was on the medium of magnetic tape, but there wasn&#039;t the expertise to read it.  

In my life I have seen cards, magnetic tape, 8&quot; floppies, 5 &#039; 1/4 floppies, 3.5 &quot; floppies, CD&#039;s, flash drives, solid state drives, etc.  (Not to mention the various interfaces of something simple like a HD.  (Anyone want a 30 meg RLL drive?  I have one.) ) 

My point is that in a lifetime, a person will see a myriad of storage devices for records and the conversion from one media to another media to be able to read the data has to be a factor in the costs of something like this.]]></description>
			<content:encoded><![CDATA[<p>There is something else that has me skeptical of this &#8211; the storage medium of the records.  </p>
<p>For example, 10 years ago NASA started to panic and pulled people out of retirement because they no longer had the machines or the people with the expertise to repair the machines (such as align heads) of computers that used magnetic tape.  Much of the data for the Apollo missions was on the medium of magnetic tape, but there wasn&#8217;t the expertise to read it.  </p>
<p>In my life I have seen cards, magnetic tape, 8&#8243; floppies, 5 &#8216; 1/4 floppies, 3.5 &#8221; floppies, CD&#8217;s, flash drives, solid state drives, etc.  (Not to mention the various interfaces of something simple like a HD.  (Anyone want a 30 meg RLL drive?  I have one.) ) </p>
<p>My point is that in a lifetime, a person will see a myriad of storage devices for records and the conversion from one media to another media to be able to read the data has to be a factor in the costs of something like this.</p>
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		<title>
		By: boblipton		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199336</link>

		<dc:creator><![CDATA[boblipton]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 00:43:05 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199336</guid>

					<description><![CDATA[These systems stink because they are designed by people who have no idea of how items are used in reality.  Thirty years after spread sheets became commonplace, I still use ledger sheets and double entry bookkeeping because spread sheets don&#039;t work the same way. I suspect these forms are designed by people with no idea of the actual work flow. A series of forms of the type that a doctor uses could be transferred to an Ipad app, and a doctor could sit with a patient, ask the questions, gauge the reactions , make appropriate notes and then wifi the results to a central server.  However, that would call for some bureaucrat to admit they have been doing things wrong and start from scratch; it would go against the companies in the medical &quot;industry&quot; who make money selling and maintaining the current idiotic system. It would also require a government bureaucrat, one likely with little understanding of how a doctor actually works in the field but has achieved a high pay grade through seniority and politics, to challenge other senior bureaucrats.  Ain&#039;t gonna happen.

Bob]]></description>
			<content:encoded><![CDATA[<p>These systems stink because they are designed by people who have no idea of how items are used in reality.  Thirty years after spread sheets became commonplace, I still use ledger sheets and double entry bookkeeping because spread sheets don&#8217;t work the same way. I suspect these forms are designed by people with no idea of the actual work flow. A series of forms of the type that a doctor uses could be transferred to an Ipad app, and a doctor could sit with a patient, ask the questions, gauge the reactions , make appropriate notes and then wifi the results to a central server.  However, that would call for some bureaucrat to admit they have been doing things wrong and start from scratch; it would go against the companies in the medical &#8220;industry&#8221; who make money selling and maintaining the current idiotic system. It would also require a government bureaucrat, one likely with little understanding of how a doctor actually works in the field but has achieved a high pay grade through seniority and politics, to challenge other senior bureaucrats.  Ain&#8217;t gonna happen.</p>
<p>Bob</p>
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		<title>
		By: OBQuiet		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199335</link>

		<dc:creator><![CDATA[OBQuiet]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 00:27:56 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199335</guid>

					<description><![CDATA[Gasman,

I have to agree. I cannot understand how something so obviously ill suited to the actual needs of doctors and patients ever made it to the market.]]></description>
			<content:encoded><![CDATA[<p>Gasman,</p>
<p>I have to agree. I cannot understand how something so obviously ill suited to the actual needs of doctors and patients ever made it to the market.</p>
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		<title>
		By: OBQuiet		</title>
		<link>https://www.overlawyered.com/2013/01/big-federal-push-electronic-medical-records/comment-page-1/#comment-199334</link>

		<dc:creator><![CDATA[OBQuiet]]></dc:creator>
		<pubDate>Wed, 23 Jan 2013 00:23:28 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=35592#comment-199334</guid>

					<description><![CDATA[I just ran the EMR Gauntlet. 

I had an annual check up with my doc. It had been a while so for some reason, I was a &#039;new patient&#039;. I had to fill 6 pages of paper work.

One of the test he wanted was a colonoscopy (hurts getting old). That meant a referral to another office associated with the same hospital. They send me ANOTHER packet asking for the same information. &quot;Can&#039;t you use the records I already gave to Dr G?&quot; I asked. &quot;Nope&quot;

Sigh. OK. Another half hour of paper work for what ends up being a 5 minute preview of the procedure.

Now I am told to go online and enter all my data a third time for the benefit of Surgical center it will be performed at. 

Wasn&#039;t the big idea that there would be easy access to this info by the doctors that needed it? 

No wonder the profession had to be forced and bribed to do this. And business that tried rolling out this sort of time wasting as part of an internal procedure would not do well in the marketplace.]]></description>
			<content:encoded><![CDATA[<p>I just ran the EMR Gauntlet. </p>
<p>I had an annual check up with my doc. It had been a while so for some reason, I was a &#8216;new patient&#8217;. I had to fill 6 pages of paper work.</p>
<p>One of the test he wanted was a colonoscopy (hurts getting old). That meant a referral to another office associated with the same hospital. They send me ANOTHER packet asking for the same information. &#8220;Can&#8217;t you use the records I already gave to Dr G?&#8221; I asked. &#8220;Nope&#8221;</p>
<p>Sigh. OK. Another half hour of paper work for what ends up being a 5 minute preview of the procedure.</p>
<p>Now I am told to go online and enter all my data a third time for the benefit of Surgical center it will be performed at. </p>
<p>Wasn&#8217;t the big idea that there would be easy access to this info by the doctors that needed it? </p>
<p>No wonder the profession had to be forced and bribed to do this. And business that tried rolling out this sort of time wasting as part of an internal procedure would not do well in the marketplace.</p>
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